[The features of botulinum therapy for different patterns of poststroke spasticity].

[AIM] To assess the efficacy of botulinum toxin therapy for different patterns of poststroke spasticity.

[MATERIAL AND METHODS] Thirty-nine patients with poststroke spasticity were examined. Rehabilitation included 4 treatment courses of inpatient rehabilitation during 9 month usinga multidisciplinary team approach. Botulinum toxin therapy was included in the program. The individual program was developed taking into account the dynamics of a pathological spastic pattern.

[RESULTS AND CONCLUSION] The transformation of the pathological movement pattern was observed during the rehabilitation using botulinum toxin. The best positive changes, including an improvement of the upper extremity function, walk and a decrease in the degree of paresis, was identified when botulinum toxin therapy was used in early stages of neurorehabilitation (1-3 month after stroke).